_________ data are sensations or symptoms, feelings, perceptions, desires, preferences, beliefs,
ideas, values, and personal information that can be elicited and verified by the client. - Answers
Subjective
Family history gathered by the nurse during assessment is a major part of subjective/objective data. -
Answers Subjective
The purpose of health assessment is to collect subjective and objective data to determine the clients
overall _______. - Answers functioning
_________ is the first and most critical phase of the nursing process. - Answers Assessment
A/An _________ assessment is a very rapid assessment performed in life-threatening situations.
a. systems
b. head to toe
c. emergency
d. visual - Answers c. emergency
n a hospital setting, the _________ usually performs a total physical examination when the client is
admitted.
a. technician
b. physician
c. nurse
d. housekeeper - Answers b. physician
_____________implies mentoring and giving to future generations.
a. Generosity
b. Procreation
c. Engagement
d. Generativity - Answers d. generativity
_____________data consist of information elicited and verified only by the client.
a. Subjective
b. Quantitative
c. Objective
d. Qualitative - Answers a. Subjective
A _____________nurse avoids preaching to the client or imposing his or her own sense of ethics or
morality on him.
a. benevolent
b. sympathetic
c. reliable
d. nonjudgmental - Answers d. non-judgmental
A nurse should consider three variations in communication during an interview with a client:
___________, cultural, and emotional.
a. physiologic
b. sociologic
c. ideologic
d. gerontologic - Answers d. gerontologic
Silence is a form of nonverbal/verbal communication. - Answers nonverbal
A __________helps to organize and illustrate the clients family history.
Select one:
a. somnogram
b. histogram
c. genogram
d. sociogram - Answers c. genogram
A clients beliefs and ideas are considered a part of subjective/objective data. - Answers subjective
True/False A nurse-client relationship established before a physical examination helps to alleviate any
tension or anxiety that the client is experiencing. - Answers True
True/False During inspection it is preferable to use sunlight since fluorescent lights can alter the true
color of the skin. - Answers True
, _________ data include information about the client that the nurse directly observes during
interaction with him and information elicited through physical assessment techniques.
Select one:
a. Objective
b. Subjective
c. Quantitive
d. Cumulative - Answers a. Objective
_________ consists of using the parts of the hand to touch and feel for characteristics such as texture,
temperature, moisture, mobility, etc.
Select one:
a. Auscultation
b. Percussion
c. Inspection
d. Palpation - Answers d. Palpation
_________ involves tapping the body parts to produce sound waves.
Select one:
a. Percussion
b. Palpation
c. Auscultation
d. Inspection - Answers a. Percussion
True/False The depth of the structure being palpated and the thickness of the tissue overlying the
structure determine whether one should use light, moderate, or deep palpation. - Answers True
_________ involves using the senses of vision, smell, and hearing to observe and detect any normal or
abnormal findings.
Select one:
a. Palpitation
b. Auscultation
c. Percussion
d. Inspection - Answers d. inspection
Which of the following would be most important to ensure accurate data when gathering client
information?
a. Identifying client support systems
b. Determining client needs
c. Documenting the data
d. Validating the data - Answers d. Validating the data
What is the primary reason for using an open-ended documentation form?
a. Individualizes information
b. Prevents missed questions
c. Meets needs of multiple data users
d. Combines assessment data with nursing diagnosis - Answers a. Individualizes information
The nurse compares subjective and objective data to achieve which of the following?
a. Validation of data
b. Determination of documentation form to use
c. Identification of missing data
d. Formulation of nursing diagnoses - Answers a. Validation of data
A nurse is working in a clinic in a low-income neighborhood and assesses a female adult client who
states that she has a urinary tract infection. The nurse notes that the client is unkempt, wearing
stained clothing, and has a strong body odor. The client mentions that she was evicted from her
apartment two weeks ago. Which nursing diagnosis would the nurse most likely identify for this
client?
A. Caregiver role strain related to fatigue
B. Impaired skin integrity related to neurologic deficits
C. Deficient fluid volume related to possible urinary tract infection